Cooper, Kipp Martin

Cooper, Kipp Martin is an sole proprietor health care provider with primary practice located at 26 Conkey Ave , Norwich NY 13815-1756. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Cooper, Kipp Martin can be contacted via phone (607) 334-5074.

Contact Information

Primary practice address
26 Conkey Ave Norwich NY 13815-1756
Phone: (607) 334-5074
Fax: (607) 336-6950
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 003207 New York

Profile Details

NPI number 1548333446
LBN Legal business name Cooper, Kipp Martin
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548333446 NPPES
New York Other 438115 MVP
New York Other 10034153 MVP
New York Other 0008744 MVP

Popular Providers